• ACH Payment Authorization Form

  • Format: (000) 000-0000.
  • Bank Information

  • Account Type:*
  • Authorization

  • I hereby authorize Clear Path Finance LLC to initiate ACH debit entries from the bank account listed above for payment of recurring monthly accounting fees, bookkeeping services, payroll services, tax preparation and filing services, consulting fees, government filing fees, and any other professional services provided by Clear Path Finance LLC.
  • I authorize Clear Path Finance LLC to debit my bank account for recurring monthly service fees and any additional authorized charges related to services provided by Clear Path Finance LLC.
  • I understand that the amount of each debit may vary depending on the services provided and invoices issued. I authorize Clear Path Finance LLC to charge my account for all outstanding invoices and approved services.
  • I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify Clear Path Finance LLC in writing of any changes to my account information or termination of this authorization at least fifteen (15) days prior to the next billing date.
  • If a scheduled payment date falls on a weekend or holiday, the payment may be processed on the next business day. Because ACH transactions are electronic, funds may be withdrawn from my account as soon as the scheduled transaction date.
  • In the event an ACH transaction is returned due to Non-Sufficient Funds (NSF), Clear Path Finance LLC may reinitiate the payment within thirty (30) days. I agree to an additional $50.00 NSF fee for each returned transaction.
  • I certify that I am an authorized signer on the bank account listed above and authorize these transactions in accordance with applicable U.S. laws. I agree not to dispute authorized transactions with my financial institution, provided such transactions correspond to the terms of this authorization.
  • Date:*
     - -
    2 digit month, 2 digit day, 4 digit year
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  • Should be Empty: